[Randomized trial of three types of repair used in 324 consecutive operations of hernia. A study of the frequency of recurrence].
In order to assess the recurrence-rate of the commonly used repairs of inguinal hernia: Bassini, McVay and Shouldice, 324 consecutive non-recurrence hernias were randomly allocated to one of those repairs. The age range 18-65 years. Ninety-six percent of the operations were carried out by the author. After a median observation-period of 32 months (range 5-75), ten recurrences had occurred, two Bassini, four McVay and four Shouldice, showing no significant differences in recurrence rate between the three types of repair. All recurrences were re-operated, five of them suffered a second recurrence. Other complications occurred in 36 patients (11%). With extensive training, low recurrence-rates can be achieved with any of the above-mentioned repairs. It is recommended that herniasurgery be centralised, and that other outcome-measures than recurrence be scrutinized as well.
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Farsø Sygehus, kirurgisk afdeling.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002983:Clinical Competence; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation
Randomiseret undersøgelse af tre plastiktyper anvendt ved 324 konsekutive hernieoperationer. En undersøgelse af recidivhyppighed.